Influence of Nursing Leadership and Communication on Handoff Report/SBAR

Part 1
Section A
1. SBAR stands for Situation, Background, Assessment and Recommendation.
2. Communication breakdown is highly responsible for the medication error which
affects the safety of the patient. The purpose of SBAR Tool is to improve the
communication between healthcare professionals. It is effective enough in
enhancing the experience of the patient and clinicians. The main task of SBAR
tool is to alleviate the communication problem between health professionals and
improve the patient outcome (Ting, Peng, Lin & Hsiao, 2017).
3. SBAR is one of the effective life-saving communication tool used in clinical
purpose by the healthcare professionals in improving the communication. It is
mandatory during a patient hand-off where the care of any patient is transferred
between shift members. With the help of SBAR nurses of a different shift can also
answer the questions asked by the physicians regarding the health condition of any
patient. SBAR tool is also used when it is necessary to call an emergency team
(Ting, Peng, Lin & Hsiao, 2017).
Section B
Normal Major Issues Missing information Nursing intervention
Pulse oximetry is
normal
Vomited greenish
fluid.
Background
information is
missing.
Nurse will monitor
and will keep a clear
documentation of it
including the number
of time vomited and
the colour of the fluid

coming out
(Manworren et al.,
2016).
Surgical dressing is
clean and dry
Blood Pressure-
110/78, which is
lower than normal
range and a slight
high temperature.
Medicines used in
pre-operative period.
Nurse will monitor
the temperature and
will provide IV fluid
when necessary
(Manworren et al.,
2016).
Declined dinner Nurse should support
the patient to have
dinner and will
explain its need.
Restless and pulling
her surgical dressing
Nurse will assess the
pain rating and will
document the
condition of the skin.
Nurse will also
monitor the hand
hygiene. To control
the restlessness,
nurse will instruct the
use of relaxation
technique such as
focused breathing

(Manworren et al.,
2016).
Patient requires clear
liquid diet and
assistance in
ambulation
Nurse should
determine the
nutritional status of
her diet and will also
assist in her activities
such as going to
washroom, moving
in bed, etc.
Part 2
Influence of nursing leadership and communication on the Handoff
Report/SBAR
Patients’ safety is crucial in healthcare. Failure in communication is responsible in
causing error in medication which affects the health and safety of the patients.
Communication failure, such as inadequate information, vague and imprecise data or
information creates adverse effect on the care given by the professionals. In order to provide
a quality care to the patients, an effective communication among the healthcare professionals
is highly necessary. Particularly, when nurses exchange patients’ information, while working
in shift, a clear and good communication is always important (Shank, 2018).
A collaborative communication and effective teamwork is one of the essential
elements required in the patient care. It improves the health outcome of the patient.